Aortic arch syndrome

ʻO ka aortic arch ka ʻāpana kiʻekiʻe o ke aʻa nui e lawe ana i ke koko mai ka puʻuwai. ʻO Aortic arch syndrome e pili ana i kahi hui o nā hōʻailona a me nā ʻōuli e pili ana i nā pilikia o ke kūkulu ʻana i nā aʻa i kū ma ka aortic arch.

Hiki ke loaʻa nā pilikia Aortic arch syndrome ma muli o ka trauma, ke koko a me nā malformations e ulu ma mua o ka hānau ʻana. ʻO kēia mau hemahema ka hopena o ke kahe o ke koko i ke poʻo, ka ʻāʻī, a i ʻole nā ​​lima.

I nā keiki, nui nā ʻano o nā syndrome arch aortic, me:

• ʻO ka nele o kahi lālā o ka aorta
• Hoʻokaʻawale o nā aʻa subclavian
• Nā apo vaskular

ʻO kahi maʻi hōʻeha i kapa ʻia ʻo Takayasu Syndrome paha ka hopena i ka hoʻopili ʻana (stenosis) o nā moku o ka arch aortic. Hana ʻia kēia i nā wahine a me nā kaikamahine. ʻIke pinepine ʻia kēia maʻi i nā poʻe kūpuna ʻAsia.

Hoʻololi nā ʻōuli e like me ke aʻa a i ʻole nā ​​hanana ʻē aʻe i hoʻopili ʻia. Pākuʻi ʻia paha nā ʻōuli:

• Hoʻololi ke kahe o ke koko
• Nā pilikia hanu
• Loli, ʻike maka ʻole, nāwaliwali, a me nā lolo a me nā ʻōnaehana (neurological) hoʻololi
• Numbness o ka lima
• Pākuʻi i hoʻēmi ʻia
• Pilikia i nā pilikia
• Nā hoʻouka ischemic kuikawa (TIA)

Pono pono ke ʻoki kino e mālama i ke kumu kumu o ka maʻi ʻaʻa aortic.

Subclavian artery occlusive maʻi pale; Carotid artery occlusion syndrome; Subclavian ʻaihue maʻi maʻi; Vertebral-basilar artery occlusive maʻi pale; Maʻi Takayasu; Maʻi maʻi ʻole

• Puʻuwai - ʻāpana ma waena o ka waena
• Kaha vaskular

Braverman AC, Schermerhorn M. Nā maʻi o ke aorta. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 63.

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. Nā maʻi maʻi vaskular. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 35.

ʻO Langford CA. Takayasu arteritis. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 165.